Individual
MRS. JULIE LYNN HAUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
33 NE KELLY AVE STE 101, GRESHAM, OR 97030-7518
(503) 320-1650
Mailing address
PO BOX 1954, GRESHAM, OR 97030-0577
(503) 320-1650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24125
OR
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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